Personal care that meets you where you are.
PCA and CFSS — Community First Services & Supports — are Minnesota's primary home care programs. HAAS delivers them with caregivers matched to your language, culture, and needs.
What is PCA / CFSS?
CFSS stands for Community First Services & Supports. It’s the Minnesota program that provides help with daily activities so people with disabilities and older adults can live independently at home. CFSS is the successor to PCA in Minnesota — same essential services, with updated rules around planning and participation.
Typical CFSS support includes:
- Activities of daily living (ADLs): bathing, dressing, eating, transfers and mobility, toileting, grooming.
- Instrumental activities (IADLs): meal preparation, medication reminders, light housekeeping, laundry, transportation support.
- Health-related tasks as authorized by your care plan.
What changed, and what didn’t.
Minnesota is in the process of transitioning the legacy PCA program to CFSS. If you currently receive PCA services or have in the past, this is what to know:
- Day-to-day care: mostly unchanged. The same activities are covered. Many clients keep the same caregivers.
- Planning: CFSS introduces a more participant-directed planning process — meaning you (and your support team) have more say in how your care is structured.
- Service models: CFSS offers two delivery models — Agency-Provider and Budget. HAAS operates the Agency-Provider model, where we handle hiring, scheduling, payroll, and supervision so you don’t have to.
- What you may need to do: for most current clients, the transition involves paperwork that HAAS and your case manager will guide you through. We’ll contact you when it’s your turn — you don’t need to chase the change.
We know the transition has caused a lot of confusion across Minnesota. If you’re unsure where things stand for you, give us a call. We’ll help you sort it out.
How HAAS delivers it.
We’ve been providing this kind of care to Twin Cities families since 2006. Here’s what works for us:
- Caregiver matching by language and culture. When the right match exists, we use it. When it doesn’t, we hire for it.
- Continuity over churn. We keep caregivers and clients together for years when possible — and the outcomes are better when we do.
- Real availability. Our office takes calls from 9–5, but caregivers and supervisors handle real-world scheduling and care year-round.
- Training and supervision. Caregivers receive HAAS-provided training plus state-mandated certifications, and they’re supervised by experienced staff.
How to start.
- Tell us about who needs care. Fill out the request form or call our office.
- We’ll figure out the funding fit. We’ll talk you through Medical Assistance, waivers, and what’s likely to apply.
- We match you with a caregiver. Based on language, culture, location, and your needs.
- Care begins. Usually within a few weeks of your initial request, depending on assessments.
Common questions.
- CFSS — Community First Services & Supports — is Minnesota's successor to the PCA program. It provides the same essential daily-care services, with some differences in how care is planned, who participates in choosing services, and how budgets are managed. For most clients receiving care, the day-to-day experience is similar; what changes is the framework around it.
- CFSS is available to people on Medical Assistance who need help with activities of daily living (bathing, dressing, eating, mobility) or instrumental activities (meal prep, medication reminders, household tasks). Eligibility is determined through a state assessment. HAAS can help you understand whether you qualify and what the assessment process looks like.
- In most cases, no. HAAS works to keep continuity wherever possible — the same caregiver, the same hours, the same approach. The transition is primarily administrative. If something does need to change, we walk you through it before anything happens.
- Yes. Medical Assistance is the primary funding source for CFSS in Minnesota. Some clients also access CFSS through waiver programs (CADI, BI, CAC, DD, Elderly Waiver, Alternative Care). HAAS can help you sort out funding alongside services.
- Under Minnesota DHS rules, an individual caregiver providing PCA services can be paid for up to 310 hours per month across ALL agencies they work for. This cap applies to caregivers, not clients. CFSS retains a similar workforce-side framework. HAAS schedules around this rule and helps caregivers track their hours across employers.
Ready to take the first step?
Tell us a bit about your situation and we'll be in touch within one business day.